Non Medical Expenses List

List I – Items for which coverage is not available in the Policy

Sr. No.	Item
1	Baby Food
2	Baby Utility Charges
3	Beauty Services
4	Belt/Braces
5	Buds
6	Cold Pack/ Hot Pack
7	Carry Bags
8	Email/ Internet Charges
9	Food Charges (Other than patient's diet provided by hospital)
10	Leggings
11	Laundry Charges
12	Mineral Water
13	Sanitary Pad
14	Telephone Charges
15	Guest Services
16	Crepe Bandage
17	Diaper Of any type
18	Eyelet Collar
19	Slings
20	Blood Grouping and Cross Matching of Donors Samples
21	Service charges where nursing charge also charged
22	Television Charges
23	Surcharges
24	Attendant Charges
25	Extra diet of patient (Other than that which forms part of bed charge)
26	Birth Certificate
27	Certificate Charges
28	Courier Charges
29	Conveyance Charges
30	Medical Certificate
31	Medical Records
32	Photocopies Charges
33	Mortuary Charges
34	Walking AIDS Charges
35	Oxygen Cylinder (For usage outside the hospital)
36	Spacer
37	Spirometre
38	Nebulizer Kit
39	Steam Inhaler
40	Armsling
41	Thermometer
42	Cervical Collar
43	Splint
44	Diabetic Foot Wear
45	Knee Braces ( Long/ Short/ Hinged)
46	Knee Immobilizer/Shoulder Immobilizer
47	Lumbo Sacral Belt
48	Nimbus Bed or Water or Air Bed Charges
49	Ambulance Collar
50	Ambulance Equipment
51	Abdominal Binder
52	Private Nurses Charges - Special Nursing Charges
53	Sugar Free Tablets
54	Creams Powders Lotion (Toiletries are not payable, only prescribed medical pharmaceuticals payable)
55	ECG Electrodes
56	Gloves
57	Nebulization Kit
58	Any kit with no details mentioned (Delivery kit, Orthokit, Recovery kit, etc)
59	Kidney Tray
60	Mask
61	Ounce Glass
62	Oxygen Mask
63	Pelvic Traction Belt
64	Pan Can
65	Trolly Cover
66	Urometer, Urine Jug
67	Vasofix Safety

List II – Items that are to be subsumed into room charges

Sl No.	Item
1	Baby Charges (Unless Specified/ Indicated)
2	Hand Wash
3	Shoe Cover
4	Caps
5	Cradle Charges
6	Comb
7	EAU-DE-COLOGNE / Room Freshners
8	Foot Cover
9	Gown
10	Slippers
11	Tissue Paper
12	Tooth Paste
13	Tooth Brush
14	Bed Pan
15	Face Mask
16	Flexi Mask
17	Hand Holder
18	Sputum Cup
19	Disinfectant Lotions
20	Luxury Tax
21	HVAC
22	House Keeping Charges
23	Air Conditioner Charges
24	Im Iv Injection Charges
25	Clean Sheet
26	Blanket/ Warmer Blanket
27	Admission Kit
28	Diabetic Chart Charges
29	Documentation Charges/ Administrative Expenses
30	Discharge Procedure Charges
31	Daily Chart Charges
32	Entrance Pass/ Visitors Pass Charges
33	Expenses related to prescription on discharge
34	File Opening Charges
35	Incidental Expenses/ Misc. Charges (Not explained)
36	Patient Identification Band/ Name Tag
37	Pulseoxymeter Charges

List III – Items that are to be subsumed into Procedure Charges

Sl No.	Item
1	Hair Removal Cream
2	Disposables Razors Charges (for site preparations)
3	Eye Pad
4	Eye Shield
5	Camera Cover
6	DVD, CD Charges
7	Gause Soft
8	Gauze
9	Ward and Theatre Booking Charges
10	Arthroscopy & Endoscopy Instruments
11	Microscope Cover
12	Surgical Blades, Harmonic Scalple, Shaver
13	Surgical Drill
14	Eye Kit
15	Eye Drape
16	X-Ray Film
17	Boyles Apparatus Charges
18	Cotton
19	Cotton Bandage
20	Surgical Tape
21	Apron
22	Torniquet
23	Ortho Bundle, Gynaec Bundle

List IV – Items that are to be subsumed into cost of treatment

Sl No.	Item
1	Admission/ Registration Charges
2	Hospitalisation for Evaluation/ Diagnostic Purpose
3	Urine Container
4	Blood Reservation Charges and Ante Natal Booking Charges
5	BIPAP Machine
6	CPAP/CAPD Equipment
7	Infusion Pump - Cost
8	Hydrogen Peroxide/ Spirit/ Disinfectants etc
9	Nutrition Planning Charges - Dietician Charges - Diet Charges
10	HIV Kit
11	Antiseptic Mouthwash
12	Lozenges
13	Mouth Paint
14	Vaccination Charges
15	Alcohol Swabes
16	Scrub Solution/ Sterillium
17	Glucometer Strips
18	Urine Bag

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